what other conditions present similarly?

Question 1

myocardial infarction

Answer 1

epigastric pain can be attributed to GI source and pain is often said to be relieved by GI remedies e.g. antacids

tightness of chest can be attributed to MSK pathology

differential diagnoses:

• COPD exacerbation
• acute gastritis
• asthma
• heart infection e.g. myocarditis
• pneumonia

Question 2

angina

Answer 2

• oesophageal spasm/ rupture
• costochondritis (inflamed cartilage between ribs and sternum)
• herpes zoster (shingles) can present with chest pain before skin presentations
• pneumonia with pleural involvement
• anxiety

Question 3

Atrial Fibrillation

Answer 3

• atrial flutter
• tachycardia- lots of types:
• atrial
• AV nodal re-entry
• multifocal atrial
• paroxysmal supraventricular
• Wolff-Parkinson-White Syndrome

Question 4

DVT

Answer 4

cellulitis (red, warm, tender leg)- they can also manifest into each other

• superficial thrombophlebitis (superficial as opposed to deep vein)

Question 5

Heart Failure

Answer 5

• MI
• pneumonia
• pulmonary oedema
• trauma
• shock (haemorrhagic)
• sepsis
• respiratory infection
• drug related injury